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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Pinom H 40 Tablet 15's is used to treat high blood pressure (hypertension). It contains Olmesartan medoximil and Hydrochlorothiazide, which relaxes and widens the narrowed blood vessels. This allows the blood to flow more smoothly in the blood vessels, and the heart can pump more efficiently. Also, it removes extra water/fluid and certain electrolyte overload from the body. In some cases, you may experience side effects such as nausea, upset stomach, dehydration, headache, diarrhoea, electrolyte imbalance, dizziness, and decreased blood pressure. Before taking this medicine, you should tell your doctor if you are allergic to any of its components or if you are pregnant/breastfeeding, and about all the medications you are taking and pre-existing medical conditions.
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Manufacturer/Marketer :

Lupin Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Pinom H 40 Tablet 15's

Pinom H 40 Tablet 15's belongs to a group of medications called 'anti-hypertensives' primarily used to treat high blood pressure (hypertension). High blood pressure is a chronic condition in which the blood's force against the artery wall is high. As a result, it increases the risk of heart-related diseases like heart attack, heart failure, stroke, irregular heartbeat, and other complications.

Pinom H 40 Tablet 15's is a combination of two medicines: Olmesartan medoximil and Hydrochlorothiazide. Olmesartan medoximil is an angiotensin receptor blocker (ARB) that blocks the hormone angiotensin, thereby relaxing and widening the narrowed blood vessels. This allows the blood to flow more smoothly in the blood vessels, and the heart can pump more efficiently. On the other hand, Hydrochlorothiazide is a diuretic or water pill that works by removing extra water/fluid and certain electrolyte overload from the body. Together, Pinom H 40 Tablet 15's lowers blood pressure and fluid overload.

You can take Pinom H 40 Tablet 15's with food or without food with a glass of water. Do not chew, bite, or break it. Your doctor will advise you on how often you take your tablets based on your medical condition. In some cases, you may experience nausea, upset stomach, dehydration, headache, diarrhoea, electrolyte imbalance, dizziness, and decreased blood pressure. Most of these side effects of Pinom H 40 Tablet 15's do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Do not use potassium supplements or salt substitutes unless your doctor tells you. In rare cases, Pinom H 40 Tablet 15's can cause a condition that results in a skeletal muscle problem, leading to further kidney failure. If you notice unexplained muscle pain, dark colour urine, tenderness, or weakness, especially if you also have a fever or unexplained tiredness, immediately contact the doctor. Try not to stop taking this medicine of your own. Let your doctor know about this, as it may cause a rise in blood pressure and increase heart disease and stroke risk. Inform your doctor if you are suffering from kidney, liver, or heart disease or are diabetic. If you are pregnant or breastfeeding, do not take Pinom H 40 Tablet 15's as it is a category D pregnancy drug and may harm the baby. Do not use Pinom H 40 Tablet 15's if you cannot urinate, are dehydrated, have low blood pressure (hypotension), and have or have had cardiogenic shock (sudden stopping of blood flow to the heart). Please tell your doctor if you are taking any other medicines or are allergic to this medicine.

Uses of Pinom H 40 Tablet 15's

Treatment of Hypertension (high blood pressure)

Directions for Use

• Pinom H 40 Tablet 15's can be taken with or without food as advised by your doctor.• Follow your doctor's instructions on the dosage and timing of this medication.• Swallow Pinom H 40 Tablet 15's as a whole with a glass of water.• Do not crush, break, or chew it.

Medicinal Benefits

Pinom H 40 Tablet 15's is primarily used to treat high blood pressure. Pinom H 40 Tablet 15's is a combination of two medicines: Olmesartan and Hydrochlorothiazide. Olmesartan medoximil is a prodrug and breaks down into active form, i.e., olmesartan once absorbed in the GIT (Gastrointestinal tract). It is an angiotensin receptor blocker (ARB) that blocks the hormone angiotensin and relaxes blood vessels. This allows the blood to flow more smoothly in the blood vessels, and the heart can pump more efficiently. Hydrochlorothiazide (diuretic or water pill); removes extra water and certain electrolytes from the body. Together, both lower fluid overload, and blood pressure, improve blood flow and reduce the future risk of a heart attack.

How Pinom H 40 Tablet 15's Works

Pinom H 40 Tablet 15's is a combination of two medicines: Olmesartan medoximil and Hydrochlorothiazide. Olmesartan medoximil is an angiotensin receptor blocker (ARB) that blocks the hormone angiotensin, thereby relaxing and widening the narrowed blood vessels. This allows the blood to flow more smoothly in the blood vessels, and the heart can pump more efficiently. On the other hand, Hydrochlorothiazide is a diuretic or water pill that works by removing extra water/fluid and certain electrolyte overload from the body. Together, Pinom H 40 Tablet 15's lowers blood pressure and fluid overload.

Storage

Keep Pinom H 40 Tablet 15's out of the sight and reach of children.

What if I have taken an overdose of Pinom H 40 Tablet 15's

Do not take more than the prescribed dose of Pinom H 40 Tablet 15's as it may cause overdose. The symptoms of overdose include lightheadedness, fainting, and fast or slow heart rate. If you suspect you have taken overdose or notice signs of overdose, please consult a doctor immediately.

Drug Warnings

Do not use Pinom H 40 Tablet 15's if you are pregnant, planning for pregnancy, or unable to urinate (anuria). If you have diabetes and taking Pinom H 40 Tablet 15's with other blood pressure-lowering pills like 'aliskiren', immediately stop taking both together and consult a doctor. Besides this, it is contraindicated in low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart), and aortic stenosis (heart valve problem). Pinom H 40 Tablet 15's may pass into breast milk, so before starting Pinom H 40 Tablet 15's, either you need to stop nursing, or you should not take Pinom H 40 Tablet 15's while breastfeeding. Please inform your doctor before surgery if you are taking Pinom H 40 Tablet 15's as it needs to be stopped because it might lower the blood pressure further if taken along with local anaesthesia. Avoid potassium salt or its substitute intake while using Pinom H 40 Tablet 15's to avoid any electrolyte imbalance. 

Drug-Drug Interactions

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Critical

Drug-Drug Interactions

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How does the drug interact with Pinom H 40 Tablet:
Using aliskiren together with olmesartan may increase the risk of serious side effects (kidney problems, low blood pressure, and high potassium levels in the blood).

How to manage the interaction:
Taking Pinom H 40 Tablet with Aliskiren is not recommended as it can cause an interaction, they can be taken if advised by a doctor. You should seek medical attention if you experience nausea, vomiting, weakness, confusion, tingling of the hands and feet, feelings of heaviness in the legs, a weak pulse, or a slow or irregular heartbeat.It is crucial that you continue to consume enough fluids while taking these medications. Do not stop using any medications without consulting a doctor.
Critical
How does the drug interact with Pinom H 40 Tablet:
Taking Dofetilide and Pinom H 40 Tablet can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Dofetilide and Pinom H 40 Tablet together is not recommended as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Pinom H 40 Tablet:
Taking Cisapride and Pinom H 40 Tablet can increase the risk of an irregular heart rhythm which can be severe. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Combining Cisapride and Pinom H 40 Tablet together is generally avoided as it can possibly result in an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like dizziness, lightheadedness, fainting, or fast or pounding heartbeats, consult the doctor immediately. Do not stop using any medications without a doctor's advice.
How does the drug interact with Pinom H 40 Tablet:
Taking lithium with Pinom H 40 Tablet may significantly increase the blood levels of lithium .

How to manage the interaction:
Although taking Pinom H 40 Tablet alongside lithium can lead to interaction, they can be taken if prescribed by a doctor. However, if you develop sleepiness, dizziness, confusion, loose stools, vomiting, muscular weakness, muscle incoordination, a shaking sensation, blurred vision, ringing in the ears, excessive thirst, and/or increased urination, consult a doctor. Do not stop using any medications without talking to a doctor.
How does the drug interact with Pinom H 40 Tablet:
Taking Pinom H 40 Tablet with trimethoprim may increase potassium levels in the blood.

How to manage the interaction:
Although taking Pinom H 40 Tablet with trimethoprim may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
Olmesartan medoxomilPotassium citrate
Severe
How does the drug interact with Pinom H 40 Tablet:
Coadministration of Pinom H 40 Tablet may increase potassium levels in the blood, which can lead to kidney failure, muscular paralysis, and abnormal heart rhythm.

How to manage the interaction:
Although taking Pinom H 40 Tablet together with potassium citrate may result in an interaction, they can be taken together if prescribed by your doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is essential to maintain proper fluid intake while taking these medications. Do not discontinue any medications without a doctor's advice.
Olmesartan medoxomilPotassium iodide
Severe
How does the drug interact with Pinom H 40 Tablet:
Coadministration of Pinom H 40 Tablet with potassium iodide may increase potassium levels in the blood. (High potassium levels can cause hyperkalemia, which can lead to kidney failure, muscular paralysis, abnormal heart rhythm, and cardiac arrest in extreme cases).

How to manage the interaction:
Although taking Pinom H 40 Tablet together with potassium iodide may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is important to maintain proper fluid intake while taking these medications. Do not stop using any medications without talking to a doctor.
Severe
How does the drug interact with Pinom H 40 Tablet:
When Pinom H 40 Tablet is taken with captopril, it may cause low blood pressure, kidney problems, and may increase potassium levels in the blood.

How to manage the interaction:
Although taking Pinom H 40 Tablet with captopril may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.
How does the drug interact with Pinom H 40 Tablet:
Taking Amiloride with Pinom H 40 Tablet can elevate potassium levels in the blood. (High potassium levels can cause hyperkalemia, which can lead to kidney failure, muscular paralysis, abnormal heart rhythm, and cardiac arrest in extreme cases).

How to manage the interaction:
Although taking amiloride with Pinom H 40 Tablet may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. It is important to maintain proper fluid intake while taking these medications. Do not stop using any medications without talking to a doctor.
Severe
How does the drug interact with Pinom H 40 Tablet:
Coadministration of Pinom H 40 Tablet with fosinopril may cause low blood pressure, kidney problems, and may increase potassium levels in the blood.

How to manage the interaction:
Although taking Pinom H 40 Tablet together with fosinopril may lead to an interaction but can be taken if prescribed by the doctor. However, consult the doctor if you experience nausea, vomiting, weakness, disorientation, tingling in your hands and feet, feelings of heaviness in your legs, a weak pulse, or a slow or irregular heartbeat. Do not stop using any medications without talking to a doctor.

Drug-Food Interactions

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HYDROCHLOROTHIAZIDE-12.5MG+OLMESARTAN MEDOXOMIL-40MGPotassium rich foods, Calcium rich foods
Moderate

Drug-Food Interactions

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HYDROCHLOROTHIAZIDE-12.5MG+OLMESARTAN MEDOXOMIL-40MGPotassium rich foods, Calcium rich foods
Moderate
Common Foods to Avoid:
Lentils, Orange Juice, Oranges, Raisins, Potatoes, Salmon Dried, Spinach, Sweet Potatoes, Tomatoes, Coconut Water, Beans, Beetroot, Broccoli, Bananas, Apricots, Avocado, Yogurt, Tofu Set With Calcium, Ragi, Seasame Seeds, Kale, Milk, Almonds, Bok Choy, Calcium-Fortified Soy Milk, Cheese

How to manage the interaction:
Consumption of Pinom H 40 Tablet with potassium-containing salt substitutes may increase the potassium levels in the body. Avoid potassium-containing salt substitutes while being treated with Pinom H 40 Tablet.

Diet & Lifestyle Advise

  • Consume antioxidant-rich food. Blueberries, cherries, tomatoes, squash, and bell peppers are high in antioxidants.
  • Eat natural diuretic foods. Asparagus, beets, green beans, grapes, onion, leafy greens, pineapple, leeks, pumpkin, and garlic are all-natural diuretic foods.
  • Use healthy cooking oils like soybean, olive, canola, and coconut oil.
  • You should avoid refined foods such as white bread, spaghetti, sugar, and red meat.
  • Reduce or eliminate Trans fatty acids, which are found in commercially baked items such as cookies, cakes, crackers, French fries, onion rings, doughnuts, and processed foods.
  • Avoid consumption of too much salt or salty food.
  • Keep your weight under control with a BMI of 19.5-24.9.
  • Regular physical activity or exercise like walking improves your blood flow.
  • Avoid chronic stress, as it can raise your blood pressure.
  • Spend time with your loved ones to cope with stress and practice mindfulness techniques.
  • Quitting smoking and alcohol consumption is the best strategy to lower the risk of many health complications.

Habit Forming

No

Therapeutic Class

ANTI- HYPERTENSIVES
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Alcohol

Unsafe

You are recommended not to consume alcohol and Pinom H 40 Tablet 15's to avoid unpleasant side effects like drowsiness, dizziness, and liver damage.

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Pregnancy

Caution

Pinom H 40 Tablet 15's is not recommended during pregnancy as it is a category D pregnancy drug. This medicine may cause fetal damage and can affect the unborn baby (fetus).

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Breast Feeding

Caution

Pinom H 40 Tablet 15's is known to pass breast milk, but its effect on the baby is unknown. So, before breastfeeding, let your doctor know about this. Either you need to stop breastfeeding for using Pinom H 40 Tablet 15's, or you need to stop takingPinom H 40 Tablet 15's.

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Driving

Unsafe

Drive with caution. Pinom H 40 Tablet 15's usually causes drowsiness and affects driving ability.

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Liver

Caution

Pinom H 40 Tablet 15's to be taken with caution, especially if you have a liver disease history. Your doctor will have to change the dosage depending on your medical condition and your reaction to treatment.

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Kidney

Caution

Pinom H 40 Tablet 15's to be taken with caution, especially if you have a kidney disease history. Your doctor will have to change the dosage depending on your medical condition and your reaction to treatment.

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Children

Caution

Efficacy and safety of Pinom H 40 Tablet 15's have not been established in children. If prescribed, it should be strictly under medical supervision and only if the benefits outweigh the harm.

Have a query?

FAQs

Pinom H 40 Tablet 15's is used to treat high blood pressure (hypertension), a chronic condition in which the blood's force against the artery wall is high.

Pinom H 40 Tablet 15's is a combination of two medicines: Olmesartan medoximil and Hydrochlorothiazide. Olmesartan medoximil is a prodrug and breaks down into active form, i.e., olmesartan once absorbed in the GIT (Gastrointestinal tract). It is an angiotensin receptor blocker (ARB) that blocks the hormone angiotensin, thereby relaxing and widening the narrowed blood vessels. This allows the blood to flow more smoothly in the blood vessels, and the heart can pump more efficiently. On the other hand, Hydrochlorothiazide is a diuretic or water pill that works by removing extra water/fluid and certain electrolyte overload from the body. Together, Pinom H 40 Tablet 15's lowers the fluid overload, raises blood pressure, improves blood flow, and reduces the future risk of a heart attack and stroke.

Yes, Pinom H 40 Tablet 15's can cause dizziness. It is advised to avoid driving or operate any heavy machinery while taking Pinom H 40 Tablet 15's. In case you feel dizzy or lightheaded, it is advised to rest for some time until you feel better.

It's unlikely that Pinom H 40 Tablet 15's affects fertility in men or women. However, in some cases, some water pills like hydrochlorothiazide may lead to erectile dysfunction. For the best advice, please consult your doctor.

In case you have missed a dose of Pinom H 40 Tablet 15's, you are advised to take it as soon as you remember. However, try not to miss a dose in the first place; if it's time for you to take your next dose, then do not take both doses together. Take only one dose; taking a double dose of Pinom H 40 Tablet 15's will lead to low blood pressure.

Pinom H 40 Tablet 15's can be safely taken as long as your doctor has prescribed it to you. Conditions such as high blood pressure are life-long conditions, and one should not abruptly discontinue it without discussing it with a doctor. Discontinuing Pinom H 40 Tablet 15's may lead to increased blood pressure with a high risk of heart attack and stroke in future.

No, you are advised to inform your doctor and monitor your blood pressure for at least two weeks before stopping the medicine. Depending upon your current blood pressure readings, there is a possibility your doctor may lower your medicine dosage and not recommend discontinuing it.

Please inform your doctor before surgery if you are taking Pinom H 40 Tablet 15's as it needs to be stopped because it might lower the blood pressure further if taken along with local anaesthesia.

Do not use Pinom H 40 Tablet 15's if you are pregnant, planning for pregnancy, or unable to urinate. If you have diabetes and taking Pinom H 40 Tablet 15's with other blood pressure-lowering pills like 'aliskiren' immediately stop taking both together and consult a doctor.

Pinom H 40 Tablet 15's may start to lower blood pressure within a few days to a week, but its full effect is usually reache after 2 to 8 weeks of use. Therefore, continue using Pinom H 40 Tablet 15's for the prescribed duration to treat your condition effectively.

Your doctor may recommend taking your first dose of Pinom H 40 Tablet 15's before bedtime, as it can cause dizziness. After the initial dose, you can take it at any time of day. While most people take it in the morning, the timing isn't critical—just aim to take it at the same time each day.

Dizziness is a common side effect of Pinom H 40 Tablet 15's. Avoid driving or operating machinery if you experience dizziness.

While taking Pinom H 40 Tablet 15's, it’s helpful to make lifestyle changes that can improve both your blood pressure and your overall health. Try to maintain a healthy weight, get at least 30 minutes of exercise each day, and eat a balanced diet that includes plenty of whole grains, fruits, vegetables, and low-fat dairy. Reduce your sodium and alcohol intake, and avoid smoking. To manage stress, consider mindfulness practices and stay connected with supportive friends or family. Regularly check your blood pressure, and include omega-3-rich foods in your diet. For cooking, choose healthier oils like olive, canola, soybean, or coconut oil.

Pinom H 40 Tablet 15's may cause weight gain in some people, but it's not common. This may happen because the medication can lead to fluid retention, higher sodium levels, or increased appetite. If you notice significant weight gain, it's a good idea to talk to your doctor for advice.

In rare cases, Pinom H 40 Tablet 15's may cause serious side effects like bladder pain, bloating, blurred vision, chest pain, increased urination, or unusual weight gain or loss. While not everyone experiences these side effects, if they do occur, you should consult your doctor immediately.

It's unlikely that Pinom H 40 Tablet 15's affects fertility in men or women. However, in some cases, some water pills like hydrochlorothiazide may lead to erectile dysfunction. For the best advice, please consult your doctor.

Take Pinom H 40 Tablet 15's exactly as your doctor has instructed to manage your high blood pressure (hypertension). Since this is a long-term treatment, it's important to take it regularly as prescribed. Be sure to have regular check-ups with your doctor to track your blood pressure, adjust your dosage if needed, and ensure that the medication is working well for you. By sticking to your doctor's advice and attending follow-up appointments, you can better control your blood pressure and reduce the risk of complications.

You can take Pinom H 40 Tablet 15's with or without food as advised by the doctor. Swallow it as a whole with water.

Common side effects of Pinom H 40 Tablet 15's include a stuffy nose, sore throat, nausea, upset stomach, headache, high uric acid levels, diarrhoea, electrolyte imbalances, dehydration, dizziness, and low blood pressure. These side effects typically don’t need medical attention and usually improve over time. However, if they persist or worsen, it's important to consult your doctor.

Pinom H 40 Tablet 15's is not recommended during pregnancy, as it is classified as a Category D medication. This means it may harm the foetus and could cause damage to the developing baby. If you are pregnant or planning to become pregnant, talk to your doctor about alternative treatments.

Follow your doctor's advice and take the right amount of medicine. Be aware of side effects and take care of yourself. If you're pregnant while on treatment, inform your doctor immediately. Don't take other medications unless instructed by the doctor. Alcohol consumption should be avoided. By following these precautions, you'll benefit most from your medicine and stay safe.

Pinom H 40 Tablet 15's should be stored in a cool and dry place away from the sunlight. Keep it out reach from children and pets.

Country of origin

India

Manufacturer/Marketer address

Lupin Ltd, 3rd Floor Kalpataru Inspire, Off. W E Highway, Santacruz (East), Mumbai 400 055. India
Other Info - PIN0180

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